Active NPI
Isaac Cheng-Shun Wu, M.D.
- Diagnostic Radiology Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 01067062
- Practice address
- 1701 N Senate Blvd
Radiology Dept
Indianapolis, IN 46202-1239 - Phone
- (317) 962-6793
- NPI assigned
- May 25, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 232086 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 01067062 | IN | Primary |
Addresses
Primary practice location
1701 N Senate Blvd
Radiology Dept
Indianapolis, IN 46202-1239
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000630616 | Other | IN | ANTHEM BCBS |
| P00768182 | Other | IN | RAILROAD MEDICARE |
| 200961430 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | iwu@direct.iuhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Oregon Health Sciences University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10212 Lantern Rd
Fishers, IN 46037-9705
Phone (317) 841-5656
1111 Ronald Reagan Pkwy
Avon, IN 46123-7085
Phone (317) 963-0166
11725 N Illinois St
Suite 275
Carmel, IN 46032-4656
Phone (317) 817-1114
1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone (317) 962-5035
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-4274
2598 W White River Blvd
The Imaging Center
Muncie, IN 47303-5251
Phone (765) 282-7595
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9356
416 E Maumee St
Angola, IN 46703-2015
Phone (260) 667-5548
500 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 333-7676
550 S Landmark Ave
Bloomington, IN 47403-3239
Phone (812) 353-2108
720 Eskeanzi Ave
Indianapolis, IN 46202-5166
Phone (317) 880-7360
Hospital & facility affiliations
- Indiana University Health
- Eskenazi Health
- Indiana University Health North Hospital
- Indiana University Health Bloomington Hospital
- Iu Health West Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01067062 | IN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Radiology Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
Locations
5924 Reliable Pkwy
Chicago, IL 60686
250 N Shadeland Ave
#200
Indianapolis, IN 46219
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
714 N Senate Ave
Ste 100
Indianapolis, IN 46202
Phone (317) 715-6402
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
1701 Senate Blvd
#C6
Indianapolis, IN 46202
Phone (317) 962-9000
1000 S Main St
Tipton, IN 46072
Phone (765) 675-8500
Interoperability endpoints
- iwu@direct.iuhealth.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1336192665
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1568492916
-
- General Acute Care Hospital
- Avon, IN
- NPI 1063443455
-
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1568407310
-
- Methadone Clinic
- Indianapolis, IN
- NPI 1760922249
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1689885188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 N SENATE BLVD",
"address_2": "RADIOLOGY DEPT",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462021239",
"telephone_number": "317-962-6793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WU",
"first_name": "ISAAC",
"middle_name": "CHENG-SHUN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-25",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "232086",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01067062",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "000000630616",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00768182",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200961430",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "iwu@direct.iuhealth.org",
"affiliation": "N",
"address_1": "1701 N Senate Blvd",
"address_2": "Radiology Dept",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462021239",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.